NEWEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS |
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A 28-year-old male presents with symptoms consistent with
diabetic ketoacidosis. Serum glucose is 470mg/dL and serum
potassium level is 4.0 mEq/L. Which of the following is the
expected course of action? - ✔✔✔ Correct Answer > Insulin
infusion at 0.1units/kg/hr with intravenous 0.9% normal saline
and potassium replacement
A 49-year-old female is treated with unfractionated heparin
post-myocardial infarction. The patient has developed several
episodes of epistaxis, and now has + occult blood guaiac testing
per digital rectal exam. Records reveal that she may have
received an overdose of the anticoagulant. Which of the
following will counteract the effects of heparin? - ✔✔✔ Correct
Answer > Protamine sulfate
Which of the following antimalarial drugs is also used to treat
autoimmune disorders? - ✔✔✔ Correct Answer >
Hydroxychloroquine (Plaquenil)
,A 41-year-old female is started on treatment for breast cancer
with tamoxifen following surgical resection. Following five years
of completed tamoxifen therapy, which of the following
medications should the patient receive? - ✔✔✔ Correct
Answer > Anastrozole (Arimidex)
Which of the following statements best describes why
propranolol (Inderal) can be used as an adjunct for patients
with side effects from thyroid replacement therapy? - ✔✔✔
Correct Answer > The drug blocks thyroid hormone release
directly on the gland
Following thyroidectomy, which medication is required
indefinitely? - ✔✔✔ Correct Answer > Levothyroxine
(Synthroid)
Which of the following pharmacological agents can be used as a
temporary inhibitor of corticosteroid synthesis in Cushing's
disease? - ✔✔✔ Correct Answer > Ketoconazole (Nizoral)
Principles that guide the selection of drugs of combination
chemotherapy in the treatment of cancer include all of the
following except___? - ✔✔✔ Correct Answer > Arbitrary dose
changes
,Which of the following adverse reactions should be monitored
when prescribing propylthiouracil (PTU)? - ✔✔✔ Correct
Answer > Agranulocytosis
Which of the following statements best describes the properties
of Levothyroxine? - ✔✔✔ Correct Answer > It converts T4 to T3
intracellularly-administration of the drug produces both
hormones so that separate T3 administration is unnecessary
Glucocorticoids have which of the following actions? - ✔✔✔
Correct Answer > Decrease antibody production
Which of the following is included in the treatment of
hyperosmolar, hyperglycemic syndrome> - ✔✔✔ Correct
Answer > Aggressive rehydration with 0.9% NS intravenously
and correction of electrolyte abnormalities
When prescribing intravenous acyclovir (Zovirax), the nurse
practitioner knows that: - ✔✔✔ Correct Answer > Adequate
hydration should also be maintained
, A 13-year-old male with moderately persistent asthma has been
diagnosed with type A influenza. Which of the following
statements is the most important to consider when prescribing
treatment with oseltamivir (Tamiflu)? - ✔✔✔ Correct Answer >
the medication should be started within the first 48 hours of
influenza symptoms
If considering starting a patient on the nucleoside reverse
transcriptase inhibitor abacavir (Ziagen) which of the following
is recommended prior to prescribing the medication? - ✔✔✔
Correct Answer > HLA B*5701 testing
The drug of choice for the treatment of disease due to
Histoplasma? - ✔✔✔ Correct Answer > Itraconazole (Sporanox)
Which of the following statements is true regarding
metronidazole (Flagyl)? - ✔✔✔ Correct Answer > Alcohol
should be avoided
Which of the following drugs is the standard chemoprophylactic
agent for the prevention of P jiroveci infection (the cause of
human pneumocystosis) in an immunocompromised patient? -
✔✔✔ Correct Answer > Trimethoprim-sulfamethoxazole
(TMPSMX)